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Thread: metatisis neoplasm

  1. #1
    Join Date
    Apr 2007
    Location
    arkansas
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    Default metatisis neoplasm

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    If a doctor writes metatisis neoplasm do you code the secondary diagnosis ? Just wanted to make sure i was doing it correctly. Thanks

  2. #2

    Default Metastasis Neoplasm

    Unless the MD documents metastasis to bone, for example, I would code as secondary 198.5

    But if the MD states metastasis colon cancer then I would code 153.8

    I hope that helps.

  3. #3
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    12,170

    Default

    It does depend on how it is documented as to whether you code a primary neoplasm with an unknown secondary or a secondary with an unknown primary. Just remember that when you code a secondary site you must always code the primary site as well which can be active, hx of , or unknown.

    Debra A. Mitchell, MSPH, CPC-H

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